﻿<?xml version="1.0" encoding="utf-8"?>
<!--504 Clauses and Provisions-->
<TransactionSpecification TransactionSetIdentifierCode="504" xmlns="http://tempuri.org/X12ParserSpecification.xsd">
  <Segment SegmentId="BGN" Usage="Required" Repeat="1" />
  <Loop LoopId="N1">
    <Name>Name</Name>
    <StartingSegment SegmentId="N1" />
    <Segment SegmentId="N2" Repeat="2" />
    <Segment SegmentId="N3" Repeat="2" />
    <Segment SegmentId="N4" Repeat="1" />
    <Segment SegmentId="PER" />
    <Segment SegmentId="DTP" />
    <Loop LoopId="LM">
      <Name>Code Source Information</Name>
      <StartingSegment SegmentId="LM" />
      <Segment SegmentId="LQ" Usage="Required" />
    </Loop>
  </Loop>
  <Loop LoopId="REF">
    <Name>Reference Identification</Name>
    <StartingSegment SegmentId="REF" />
    <Segment SegmentId="DTP" />
    <Segment SegmentId="MSG" />
    <Loop LoopId="LM">
      <Name>Code Source Information</Name>
      <StartingSegment SegmentId="LM" />
      <Segment SegmentId="LQ" Usage="Required" />
    </Loop>
  </Loop>
</TransactionSpecification>